| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36415 |
|
16,718 |
15,269 |
$4.38M |
| 99283 |
|
20,406 |
17,376 |
$1.40M |
| 99284 |
|
19,453 |
15,085 |
$618K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,668 |
1,505 |
$557K |
| J7120 |
Ringers lactate infusion |
2,020 |
1,786 |
$497K |
| G0378 |
Hospital observation per hr |
43,092 |
937 |
$474K |
| G0463 |
Hospital outpt clinic visit |
20,477 |
7,807 |
$427K |
| 96361 |
|
828 |
771 |
$411K |
| 93005 |
|
34,319 |
3,634 |
$410K |
| 99282 |
|
4,465 |
4,128 |
$391K |
| J7030 |
Normal saline solution infus |
1,004 |
910 |
$375K |
| A9270 |
Non-covered item or service |
36,347 |
9,433 |
$322K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,879 |
2,755 |
$270K |
| J3301 |
Triamcinolone acet inj nos |
6,277 |
2,087 |
$232K |
| 0202U |
|
257 |
251 |
$127K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
501 |
362 |
$70K |
| 41899 |
|
204 |
197 |
$56K |
| J3490 |
Drugs unclassified injection |
340 |
165 |
$47K |
| 81001 |
|
3,271 |
2,994 |
$46K |
| 71046 |
|
374 |
332 |
$40K |
| 87633 |
|
196 |
196 |
$39K |
| J3010 |
Fentanyl citrate injection |
2,008 |
787 |
$36K |
| 71045 |
|
785 |
752 |
$32K |
| 0241U |
|
116 |
112 |
$29K |
| J1885 |
Ketorolac tromethamine inj |
4,257 |
2,288 |
$21K |
| J2250 |
Inj midazolam hydrochloride |
1,564 |
650 |
$20K |
| J2405 |
Ondansetron hcl injection |
2,100 |
1,112 |
$18K |
| C9803 |
Hopd covid-19 spec collect |
108 |
105 |
$18K |
| 80053 |
|
9,302 |
8,653 |
$18K |
| U0002 |
Covid-19 lab test non-cdc |
243 |
235 |
$16K |
| 97110 |
|
1,526 |
327 |
$15K |
| 99285 |
|
585 |
512 |
$12K |
| J7040 |
Normal saline solution infus |
33 |
32 |
$10K |
| 87070 |
|
471 |
464 |
$9K |
| 70450 |
|
58 |
57 |
$8K |
| 87502 |
|
73 |
73 |
$8K |
| G1004 |
Cdsm ndsc |
570 |
191 |
$8K |
| 96374 |
|
4,850 |
4,495 |
$7K |
| J2270 |
Morphine sulfate injection |
1,258 |
411 |
$6K |
| 87486 |
|
161 |
161 |
$6K |
| 87634 |
|
15 |
15 |
$5K |
| J1100 |
Dexamethasone sodium phos |
2,090 |
1,404 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
3,442 |
1,793 |
$5K |
| 85025 |
|
11,755 |
10,862 |
$5K |
| J1642 |
Inj heparin sodium per 10 u |
614 |
320 |
$4K |
| 93971 |
|
111 |
12 |
$3K |
| 97597 |
|
108 |
26 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
440 |
126 |
$2K |
| 96372 |
|
170 |
163 |
$2K |
| A9579 |
Gad-base mr contrast nos,1ml |
16 |
15 |
$2K |
| J2930 |
Methylprednisolone injection |
28 |
12 |
$2K |
| J2001 |
Lidocaine injection |
24 |
12 |
$1K |
| 80306 |
|
42 |
40 |
$1K |
| J7121 |
5% dextrose in lac ringers |
12 |
12 |
$1K |
| Q3014 |
Telehealth facility fee |
221 |
168 |
$1K |
| G0480 |
Drug test def 1-7 classes |
80 |
77 |
$999.61 |
| 84443 |
|
98 |
94 |
$928.98 |
| 80048 |
|
277 |
264 |
$828.58 |
| J1200 |
Diphenhydramine hcl injectio |
662 |
507 |
$681.11 |
| 87491 |
|
25 |
24 |
$633.04 |
| 83690 |
|
833 |
745 |
$421.98 |
| 96375 |
|
1,213 |
1,120 |
$362.85 |
| J1170 |
Hydromorphone injection |
42 |
29 |
$212.63 |
| 82077 |
|
431 |
397 |
$162.94 |
| 86140 |
|
29 |
25 |
$97.64 |
| J3475 |
Inj magnesium sulfate |
37 |
25 |
$79.50 |
| 83735 |
|
439 |
386 |
$34.63 |
| 87798 |
|
322 |
161 |
$31.46 |
| 87581 |
|
161 |
161 |
$31.46 |
| 87088 |
|
16 |
13 |
$28.93 |
| 85652 |
|
32 |
28 |
$19.38 |
| 87635 |
|
168 |
168 |
$0.01 |
| 85610 |
|
52 |
51 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
206 |
113 |
$0.00 |
| 00170 |
|
65 |
65 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
845 |
183 |
$0.00 |
| 80143 |
|
182 |
176 |
$0.00 |
| 80179 |
|
180 |
174 |
$0.00 |
| J0585 |
Injection,onabotulinumtoxina |
28 |
27 |
$0.00 |
| 84439 |
|
41 |
40 |
$0.00 |
| 84703 |
|
393 |
370 |
$0.00 |
| 85027 |
|
627 |
593 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
2,194 |
2,099 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
96 |
75 |
$0.00 |
| 36410 |
|
15 |
14 |
$0.00 |
| 85730 |
|
51 |
50 |
$0.00 |
| 87591 |
|
24 |
24 |
$0.00 |
| 84484 |
|
22 |
13 |
$0.00 |